Healthcare Provider Details

I. General information

NPI: 1427704345
Provider Name (Legal Business Name): STERLIE CLAIRE AGORRILLA RAGONESE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 S MELROSE DR STE 415
VISTA CA
92081-6655
US

IV. Provider business mailing address

380 S MELROSE DR STE 415
VISTA CA
92081-6655
US

V. Phone/Fax

Practice location:
  • Phone: 760-536-3083
  • Fax: 760-536-3475
Mailing address:
  • Phone: 760-573-0162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95018959
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: